Introduction to Global Healthnet

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  • Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  • Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  • Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  • Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  • Event type refer to class of medical that can be involved Ex: accident -  Accident classification chirurgy -  Chirurgy table consultation  The event will the sub-clas, but this inofrmation already containt the main class (event type) ? Action  Medical Act definition
  • Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  • In fact what is a EPR
  • Mais une philosophie, approche rogérienne à un établissement. Touchent tous les membres de l’établissement
  • The security is the base on online application furthermore when the person in need is more incline to divulge sensitive information and place the helper on a higher status. He have broke a leg is not th same as that’s the 5 time that he broke is legs. When the odorat and other sense use in the constyruction of the image of the others, we most doinference, generalisation and constance buffing for compensate the lost of information and create a projectable image (on witch we can depends). CLI – GUI – NUI (command line to Graphic user interface to natural user interface)
  • The lock part is based on restricted and confidential choose for each Line record in a table. It’s the table that is look record. The user can declare Family History as restricted (view – share ?telemedicine support ask transfer information. Witch part). The EMR Lock can be use or not. In fact outside a clinic or an hospital, a doctor can easily (can be more easily) manage is Case Load (example the lot of a medication). But the emr lock is use for the Exchange Clouding Warehouse (Global Warehouse). An element
  • Introduction to Global Healthnet

    1. 1. PRACTICAL TECHNOLOGY LEGAL Vietnam Health Information Technology Program Global Healthnet To provide medical information technology at each level of services © Alain Bergeron, VHITP, 2010
    2. 2. “ Healthnet have emerge in a context of economic recession, international cooperation and a general request for transparency in health care management ”
    3. 3. “ healthnet.vn is an integrated network of dedicated portals providing information and services applications for users, patients, professionals and health care manager. The main purpose of the network is to distribute health information to the community and secures data collection in a purpose to provide a better quality of service, a better support to the doctor-patient relation in a digital age and offers realtime data aggregation for managers and decidorsdation of the data collection and data exchange (HL7)” © Alain Bergeron, VHITP, 2010
    4. 4. Main Objectives “ To collect and secures health clinical data in the purpose of providing to authorized professionals actualized information related to the health situation of a person (Electronic Health Record) or of a group of persons (Epidemiology Researcher Access) and by combining these information to provide to the health services decisional instances a real-time view of the health situation and medical services utilization of a community”
    5. 5. Practicaly <ul><li>Healthnet.vn is a web portal dedicated to the management of health care services and electronics health records </li></ul><ul><li>Healthnet.vn is develop following 4 main function blocks </li></ul><ul><ul><ul><li>Registration and validation of users rights </li></ul></ul></ul><ul><ul><ul><li>Electronic Health Record </li></ul></ul></ul><ul><ul><ul><li>Transactional process on data relevant to the HER </li></ul></ul></ul><ul><ul><ul><li>Data Aggregation for analysis and decision making </li></ul></ul></ul><ul><ul><ul><li>Health Project Management </li></ul></ul></ul>
    6. 6. Knowledge Resources Information Governance + + = Securing the professional relation between the patient , his doctor and health services providers inside a unique transactional electronic health record when collecting health data requested for the planning and the management of health services Increasing the quality of health care by providing to health professional advisory services related to base evidence medicine and providing continuous training facilities Reducing the cost of health services by providing to population health information and tutorial related to basic care and medical condition Facilitate the management of health community programs by providing online redaction, management and reporting tools for governmental agencies and NGO Secures the connection access and validate identity of online health professional and services providers organizations Structutal Objectives of healthnet.vn
    7. 7. Planning & Research Roles at Decisional Level Agency HHR Planning Role Local health care facility Coordinate care of individual patients in multidisciplinary environment Regional Health Authority Evaluate patient needs within region; Work with local health care facilities to ensure delivery of service; Implement recruitment/retention strategies <ul><li>Provincial/Territorial Government </li></ul><ul><li>RHA: Regional Health Agencies </li></ul><ul><li>HHR: Health Human Resources </li></ul>Establish RHAs to carry out regional health care delivery; Establish HHR regulatory frameworks; Establish and manage health care programs and systems; Work with colleges & universities to set quotas for health care provider training Provincial/Territorial Regulatory Authorities Assess credentials; Issue licenses National Government and Professional Agencies Set standards for certification; Accredit training institutions; Compile national level data and information for planning purposes
    8. 8. Development Tasks of VHITP (NOT COMPLETED) Website development 2011 - 2015 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
    9. 9. PRACTICAL TECHNOLOGY LEGAL Legal aspect
    10. 10. Decisional and Executive Structure 2011 Vietnam Health Information Technology Program Ministry of Health Vietnam Health Information Technology Committee (Decisional Instance) Medical Services Administration Department Vietnam Health Information Technology Program (Executive Instance) Development &Support * Dataset & Events Line Company Support & Services Development Company Support & Services Development Company Support & Services Development © Alain Bergeron, VHITP, 2010
    11. 11. ROLE VHITC 2011 Vietnam Health Information Technology Program Vietnam Health Information Technology Committee (Executive Instance) <ul><li>Fix the objective of healthnet development and evaluate their achievement </li></ul><ul><li>Propose a achievement agenda for VHITP been able to fix development activities planning </li></ul><ul><li>Support sponsoring campaign and search of budget for the development of healthnet </li></ul><ul><li>Propose law to present to the central committee related to the use of Information technology in Medical Services Administration and Treatment </li></ul><ul><li>Evaluate the effects and the result of these laws </li></ul><ul><li>Implant adapted procedures for the application of accepted Laws </li></ul><ul><li>Responsible for the development and maintain of: </li></ul><ul><li>Standards </li></ul><ul><li>Dataset (CDC – CDA) </li></ul><ul><li>Data Exchange (HL7) </li></ul><ul><li>Security procedure decision </li></ul><ul><li>Adequacy of the Vietnamese translation of standards </li></ul><ul><li>Coordination between level of government , private industries and community organizations or the actualization of healthnet development </li></ul><ul><li>Fix objectives for the development of communication tools related to technological change and enhancement of shareholders in the development of healthnet </li></ul>© Alain Bergeron, VHITP, 2010
    12. 12. Vietnam Health Information Technology Program (Executive Instance) ROLE VHITP 2011 Vietnam Health Information Technology Program <ul><li>To design specification for contract in conformity with healthnet requirements </li></ul><ul><li>Go on submission and Distribute contract </li></ul><ul><li>Evaluate quality and conformity of product contracted with charge book, respect of agenda ,dataset and standards, availability of source (Open Source) and documentation before payment </li></ul><ul><li>Execute sponsoring campaign by Writing project, making and answer to sponsor management and transparency requirement (Result Base Management - Logical Frame) </li></ul><ul><li>Develop paying professional services in the objectives to finance healthnet development (healthnet.vn) </li></ul><ul><li>Development and maintain integration portal related to the global healthnet, including professional user database and resources repertory , </li></ul><ul><li>Responsible for Network architecture, infrastructure and healthnet mapping </li></ul><ul><li>Develop of a public EHR for population allowing them to manage and secures their medical information and access </li></ul><ul><li>Develop online tools for the development of medical contents for students, professors and professionals </li></ul><ul><li>Search collaboration in development contents with universities </li></ul><ul><li>Give formation and promote seminar related to the sue of IT in Medical Fields </li></ul><ul><li>Develop communication plan related to healthnet.vn development </li></ul>© Alain Bergeron, VHITP, 2010
    13. 13. Coordination Tasks of VHITC 2011 Vietnam Health Information Technology Program Industry Transformation Standards Harmonization Compliance Certification Nationwide Health Information Network Privacy / Security Health IT Adoption Ministry of Technology & Technology Industry Consumer Value Coordination of Policies, Standards, Architecture, Interoperationality, Resources, and Priorities Epidemiology Bio surveillance Resource Management Chronic Care Service Electronic Health Records Ministry of Health & Health Care Industry © Alain Bergeron, VHITP, 2010
    14. 14. Development Tasks of VHITP Website development 2011 - 2015 Vietnam Health Information Technology Program Vietnam Health Information Technology Program (PUBLIC – COMMERCIAL - http://www.hoiphuc.net/healthnetvn) User Access Type Web Services Accessed © Alain Bergeron, VHITP, 2010
    15. 15. Event Line National Electronic Patient Record INCOMPLETE Ministry of Finance Ministry of Health Ministry of Technology Ministry of Security Ministry of SS & WI Population Database International Classification Of Desease For Services & Procedures Result Form for Services & Procedures Request CP4 Code of Procedure xxx International Classification of Disease Database Medical Facilities Database Health Professional Database URL Mapping Healthnet URL Database xxx
    16. 16. PRACTICAL TECHNOLOGY LEGAL Some answers Health Information Technology Company
    17. 17. Registration & Validation Process
    18. 18. Personal Health Record Lifetime Full Personal Health Record Pediatric Records HIS Records Employer and Insurance Carrier Records Military Records Death Certificate and Autopsy Records Birth Certificate and Prenatal Records Research Records Public Health Records Environmental Records Genomic Records Links Access Login from Trusted URL © VHITC, 2010 Alain Bergeron, vhitc
    19. 19. <ul><li>Individual </li></ul><ul><ul><li>Suscriber (patient) </li></ul></ul><ul><ul><li>Student * </li></ul></ul><ul><ul><li>Professionals * </li></ul></ul><ul><li>Organization * </li></ul><ul><ul><li>Hospital </li></ul></ul><ul><ul><li>Clinics </li></ul></ul><ul><ul><li>Health Management </li></ul></ul><ul><ul><li>Medical Resellers </li></ul></ul><ul><ul><li>Medical Industry </li></ul></ul><ul><ul><li>Pharmacological Industry </li></ul></ul><ul><ul><li>Training Institutions </li></ul></ul><ul><ul><li>NGO – Community Organizations </li></ul></ul>IF AND IF CREATE MY EMR IS YES: #pinEMR# <ul><li>Create my EMR </li></ul><ul><li>Yes </li></ul>IF * #linkID# #linkID# For Student #studentID# For Professionals #professionalID# For Health Organization #resourceID# HIS Database <ul><ul><ul><li>#healthnetID# </li></ul></ul></ul><ul><ul><ul><li>#password# </li></ul></ul></ul><ul><ul><ul><li>#userType </li></ul></ul></ul>USER TABLE Healthnet.vn Database <ul><ul><li>#healthnetID# </li></ul></ul><ul><ul><li>#nameHIS# * </li></ul></ul><ul><ul><li>#patientID# </li></ul></ul><ul><ul><li>*For now only MEDISOFT </li></ul></ul>EMRID TABLE <ul><ul><ul><li>#ProfessionalID# ** </li></ul></ul></ul><ul><ul><ul><li>#Password# </li></ul></ul></ul><ul><ul><ul><li>* See Slide Health Professional Database </li></ul></ul></ul><ul><ul><ul><li>** See Slide Professional ID </li></ul></ul></ul>USER TABLE Health Professional Database * <ul><ul><ul><li>#ResourcesID# ** </li></ul></ul></ul><ul><ul><ul><li>#Password# </li></ul></ul></ul>USER TABLE Resources Database
    20. 20. Vietnam Healthnet Zone Healthnet approach to HER Clinical data Event Line Private Practice Provincial Hospital (Provincial Heath Structure) Community Services (Provincial Structure) Healthnet (Healthnet Interface) Online consultation eHealth.vn (National Online Medical Services Structure) eHealth.vn (Online Form - Consultation Room) VN-HN-EHR (Events Line Server) Specialized Hospital (Government and/or Private) Distant Medicine (Telemedicine & Home Care Program) H .I .S. (Hospital Information System) Distant Medicine ( Onsite urgency Services - Home Care Program)
    21. 21. © VHITC, 2010 Alain Bergeron, vhitc
    22. 22. THE HEALTH PROFESSIONAL DATABASE <ul><li>HEALTHNET.VN </li></ul><ul><li>Health Humans Resource </li></ul>
    23. 23. Health Professional Database Professional ID Population Database CMND Health Formation Database Institution ID Health Facilities Database Facility ID Professional ID CMND DOB
    24. 24. Health Professional Database Professional ID Health Facilities Database Facility ID HealthNet Formation Warehouse CMS ID Professional Exercise Code Infraction ID
    25. 25. <ul><li>Proposed Professional ID Number for Medical Professional in Vietnam </li></ul><ul><li>Ref: The Canadian MINC identification number is composed by 12 characters : </li></ul><ul><li>• A two-letter country code, indicating the country that issued the MINC identifier (for Vietnam, this identifier will be VN); </li></ul><ul><li>• A two-letter profession code, indicating the professional body that issued the number (for physicians, this code will be MD); </li></ul><ul><li>• Seven numeric digits, which are simply a serial number, with no encoded </li></ul><ul><li>information </li></ul><ul><li>• A final check digit, generated by a mathematical formula of the other digits, to guard against transposition errors. </li></ul><ul><li>Thus a sample MINC looks like this: VNMD-1234-5679 (“9” is the check digit) </li></ul>
    26. 26. Proposed Improvement for the Professional Health ID Number for Medical Services Management in Vietnam Number show on the card VNDR-321456987 – 1 - 63 – 14021967 Management System Country Code Profession CODE National ID Number Province CODE Date of first related diploma Number in the Database Identification HNVNDR – 321456987 – 1 - 1 – 14021967 – 00 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
    27. 27. Proposed EHR ID Number for Medical Services Management in Vietnam Number show on the card VN – 321456987 – 1 - 1 – 14021967 – 00 Management System Country Code National ID Number Sex of the ID Number Owner Is Owner of The National ID Number Date of birth of the Owner Children rank If child of the National ID Number Number in the Database Identification HNVN – 321456987 – 1 - 1 – 14021967 – 00 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
    28. 28. Proposed Improvement for the Health Services Provider ID Number for Medical Services Management in Vietnam Number show on the license VN - 0001- 004 - 11122003 - 01 Management System Country Code Health Resources Provider CODE Province ID Date of the first registered License (dd-mm-yyyy) Counter (01-02-…) Number in the Database Identification HNVN – 001 – 004 - 11122003 -01 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
    29. 29. Registration & Security 2011 Vietnam Health Information Technology Program Public level Online Public Services Healthnet Registration DATA ENTRIES / EXCHANGE Provincial Level EHR Data Aggregation REGISTRATION MANAGEMENT National Level EVENTS LINE Data Aggregation Department specific tools DESAGREGATION TOOLS National Database Maintenance DATA ARCHITECTURE Database maintenance Standard & HR Dataset www.hoiphuc.net/maint National Statistics and Planning www.hoiphuc.net/admin Professionals and Health Services Providers Registration System HER Data Aggregation Entries related to the identification and the exchange between the population and the professionals www.hoiphuc.net/healthnetvn Entries related to identification and the exchange o information between professionals and health care providers managers and the health administration www.hoiphuc.net/ Public level Online Public Services Healthnet Registration DATA ENTRIES / EXCHANGE Entries related to the identification and the exchange between the population and the professionals www.hoiphuc.net/healthnetvn Entries related to identification and the exchange o information between professionals and health care providers managers and the health administration www.hoiphuc.net/ © Alain Bergeron, VHITP, 2010
    30. 30. Therapeutic relation: Construction of the GUI NUI THEORY: 2011 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
    31. 31. healthnet ock: Securise the therapeutic relation 2011 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010

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